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Retired NBME 20 Answers

nbme20/Block 2/Question#7 (reveal difficulty score)
A 30-year-old man comes to the physician ...
Increased osteoclast maturation and activity 🔍 / 📺 / 🌳 / 📖
tags: endo PTH

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 +11  upvote downvote
submitted by cafeaulait(11)
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I eleievb shti esmt mya eb nifnrgeir NEM 1 orensdmy - pesilbso astrmiagno pcp(iet ucelr eassdei ,x)d raaordpyhit oemdaan, and ytiupaitr donmeaa acin(usg )DSAHI. ,Btu uyo to'dn deen to veen kwon isth ot get tihs gtrhi - utsj iaknsg teh eftcfe of ighh THP on het esmsty - ceuass icdaresne eslosttaoc yaicvtit sa lwel as toanurta.im

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fatboyslim  hTe tmspsomy fo thsi intepta ear ude ot ayacpmhcilere tsno(es, es,nbo oran,gs HSTOREN r[dieacnes ieurs,}isd nad irpaciychts eo.)senortv lpaieecarycmH nca aosl euacs icppte rucel diese.as So eht yrrmiap hgtooapyl is daipharytro aoeadmhlpnriysaa/ep sniucag hte lhiayaepecmrc +6
beetbox  oDse ynanoe nowk w'htsa pu twhi eth on' rmaebliosatin in msreuhu 'Di?raXdy hyet juts wtrho atth in rof on soaen?r I tgo edokoh on t,i I hgtthou ehtre wsa on rnisdaeec letacsosto ci.t..yivta rohestwie the croaitlc enbso dwluo eavh eebn ldydo ihnt or tiseongmh +4
topgunber  ENM 1 - P P P . ayd,oPathrri a(iangsnrsaectpr in sith s)ac,e tpitiruay elnio.s not kye to anwgrnies ihts ipsn.t uoqte omces twih mmyospst of ehe,ccmaaiylpr naso,m sronga, hnostre gie(pe),n ycshp kL oonvoer.otse ta thp and aclumc.i ew see ihgh ca dan hihg hp.t We wkon ttha ighh calmuic lowud werlo tpi..sh.th sanme teh hhig ccuialm aws ude ot hte ihgh htp .e.(i tahdoyrapri iumn)eends oatQao is ytlclaau :agsnki wtah aer eth eectfsf fo ?THP ,a c, iespoopt of DHTP dna E i edevlieb eartn' rdeelat to odPSTsnu-HB nshigmtoe kile eht egtspneisaho fo roupyasdhayrieFipstod -pehm we fydnieetli know tath HPT isaeernsc aC , so yb rgnacinise tlasosetco /ittraavctuoimitany oyu leibarte mucicla iotn eht ld.oob tihs si het etbs .rewsan +3


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 +4  upvote downvote
submitted by ∗laminin(18)
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can eesmnoo axienpl wyh ti yass eh sah an 'tiantc' PTH io.actrcent.n.iosn it to elt us nkwo atht the HTP ntncneaircoto si a eutlsr fo nphoatydg?oal whsa't hsi x?d stkhna!

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yotsubato  I awrse yhte eakm pu some fo iths fsf.tu kieL sawth up hitw hte tisrt,h uroin,itan dan ptecip rucle edeiass.s +9
redvelvet  palaryheciemc nca ecsau oeeghirnpcn debtieas nu;dssipi os hr,itts nriuat.oni ilhmceyaepcra cna sloa escau ppteic ulrce easdes.i siH msopmtys rea lla atuob heycaeiamrlpc ude to yhad.orhtyppsrrimeai +4
namira  lmcepaiHya"rec nca useac elarn uytncdofsin hcus as rcnogpneihe asdbeeit isuinpsdi DN(I,) btu het shmsmiance udyienrngl di-rueeacilccnhaydepm NDI rea ton llwe e.o"suddor tnh5il/iut4o:tesn/rp0kt08elaga2Slt3xl95.-in-8o-nawt.e0fw6n/rytc/7e1)wr(0d/t3i +2
dulxy071  hyW c'atn eth corrtce srwnea eb )C ichhw iotnsp twordas naerl lirua,fe ciwhh aym lade to yrdncseao oaiehrsytahidyppmrr hviang het easm srsteul I ielveeb +2
pmofmalasia  Teh cynesdora irpaashmryriepdothy in narel uifrela is deu ot ssol of ccimalu in het nfoiui-nonnctgn enkyd.i In htsi uotinqes the ucmlcia wsa vad,elete os uoy nac rleu tuo enalr i.ealufr +1
sars  icarel-amcypeH suaesc tosesn (micualc onste,s) grnaso i)oio(cnptn,sta rosneht nreaecdi(s i)no,uaitrn esnbo nerdisaec( ectoostlsa aittci,nv)oa dan isihpccatyr oteovnser nise)sdr.ope( +1
epiglotitties  syau@boott aols as neoosem denomtien ni aroehnt nmmtce,o i hnitk heyert' ntniigh htat eht px tmhgi evha .1EMN dhPyritaoar iypraeps-lha cir,cpalamyeeh ayturtiip -onemada ADIHS t,nhn(tu)iti+riraso and cptnriecaa ortum- nasaigromt icep(tp luecr )iaedsse +


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 +2  upvote downvote
submitted by killme(14)
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Teh tceopnc iengb ttedse is ht"aw dose TPH do hatt saled to almryi ep"eacchcKg//.abmsig:enP3spijbdtth/.o.Vip/

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yotsubato  u,hg usl.iblth I aws ygtrni ot uerigf tuo na aatlcu eisdsea rpsoces r.ehe +7
rio19111  ist rpiarym oraymihtpieardpysrh seacdu by ihpoydrtaar ea.odanm idoantid of het tpepic reluc sgtseug irlnZelog -&g-;-t 1NME b tu enno of htta si imp ebeuacs asht't not what hety aer ni.sgka llA hyte rae nagksi rfo is hte nfcitnuo of T.HP +3
topgunber  EMN 1 - P P P . yPhatordri,a pengts(arsracain in sith c)esa, iuttpryai .soienl ton yke ot eswnirnga siht tquein pto.s eomsc htwi mpystmos of celryipahc,mea nmsoa, gnors,a ntesohr engi,pe)( spchy novo o.sLrketeo ta htp nda mcauli.c ew ese ighh ca nda hihg pth. We wnko hatt ighh iacculm wlduo rwelo .it.thsp.h neasm teh hghi iauccml was eud to het ghhi pht ei.(. harydtorapi mto Qaen)odiunsae is laycault sn:ikag htaw rae teh tseefcf fo ?THP ,a c, sopteoip of THDP adn E i dbeileve tear'n etedlra ot PT soHSu-Bdn hinmogtes elki eth eosahgeitspn of iyep-otspymp rohFihaudaedsr ew fetdnyelii okwn hatt HPT cnersaies Ca , so yb gncinisera scooesattl victto/iyttaaauinmr ouy etiabler lmccuai noti the bdolo. sith si eth esbt esw.arn +1


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 +2  upvote downvote
submitted by ∗sympathetikey(1600)
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nI diodnati to PTH = cotaeslost ttyvacii = eeaidrncs uamlc,ic ihts rnspeo cdoul osal be ixgbtniehi omypstsm fo NE.M1

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topgunber  NEM 1 - P P P . hPrraa,ytdio ega(siaacrstrpnn ni thsi ec,a)s ipiyttaru s.lione nto eky ot gsinawrne siht si topqune.t escmo whti tsymmosp fo haycraeilpem,c no,msa ,oarnsg noerths (ne),peig cpyhs tekL onose.rovo ta tph nad cuca.lim we ese hhgi ca nda hhgi .pht eW nowk ttah hgih mlaucci owuld erowl thp.t..ish amsen teh high alcmuci swa edu ot the ghih tph .(i.e irhdatayopr dameQunsooi ent)a si lalyutca s:ikgan wath aer het etfcsef fo ?TPH ,a ,c eppoitso of PHTD dan E i eleidvbe ent'ar tedarle ot d-oPTsnB SHu nigothesm kiel het thieesanpgso of er-sauyioyepdhrdpotmi phsFa we endtylifei onkw thta HPT ssrncieea Ca , so yb reinasignc laocteosst aotcnit/vtayriiatmu oyu teialerb ccilmau nito hte o.dobl tshi si the tsbe w.anesr +1


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 +1  upvote downvote
submitted by rio19111(16)
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tis armyrpi phamrsideoarpytyhri eadsuc by yhiprtardao noadea.m addontii fo the tpipec uelrc tseggsu Znrilgelo &--;t-g EMN1

utb neno of atht is ipm ecuaseb h'stta ton ahwt yeht rae ain.gks All ethy rae iansgk rof is het niufcnto fo PTH.

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rio19111  oeSs,nt ,rnaogs rse,tohn yrtsichpaic etsoenrov -;-gt-& psmstymo +1
topgunber  MNE 1 - P P P . ihoa,dPytrar (tsnrigaarncasep in hsit sa,ec) tirtpiyua .nsleio ont key to argwnsine sith st .noitqpue emocs iwht oymspmts fo lpyeircacae,mh s,oamn sna,rgo horsent (eie)png, ycsph rooLto.o vnseke at tph nda l.amiccu we see hgih ca dan gihh ht.p We kwno hatt high ailcumc uwldo erolw ..ths.ihpt esanm eth hghi lumccia was due ot teh hhgi thp (i.e. irhtpydaoar oeeQus)tnamndioa is clalytua ksa:ign awht aer the eetfsfc of PH?T a, ,c spepotoi of H TDP nad E i idevelbe aet'rn erltead to o -uBndsHSPT shtneoimg ekli teh tesianphseog fo sysop aopudphreitFrhy-mdeai we ydneeifilt know atth TPH iesenasrc aC , os by isnianrecg eosaltsotc utiacmavnrtoititya/ uyo rebatiel mlacciu ntoi hte b.lood tish si eth bste aernsw. +1


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 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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Dseo eoaynn wonk het nnigeicsaifc fo tenyoomc tiyoltmi?

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 +0  upvote downvote
submitted by arthur_albuquerque(1)
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haWt eehldp em ot weansr isth eon iqtue saeliy swa hte fnglwoloi :lnoaerait

Hycceelrimaap + hhgi HPT t;g-& imrapry" amiyay"tpredhphroisr

oHw do gihh HTP deal to eclparamcehi?y acengIisnr caetsoolts citav!yti

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 +0  upvote downvote
submitted by ∗topgunber(68)
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MNE 1 - P P P . yaPa,rithodr rcitprage(snsaan in hits csa)e, tpiaiyutr e.oisnl ton yek ot enwasnirg tsih i.seotqnu

tp mcsoe wthi ommypsst of heracmpeial,yc smoan, ,songra netrsho g(ep)ei,n cshyp vtsoe.neor

kooL ta pth nad iauccml. ew ese ighh ca nad hhig th.p We wnko hatt gihh ciluamc ldouw rwleo t...ishpht esamn het hhig ucicmla swa deu ot the hihg tph .(.ie rhoadapiryt enmoa)ad

notuiesQ si tycualla ka:gnsi awht era hte ecsfetf of THP? a, ,c oeisoptp fo PTH

D and E i ildeevbe 'etnra ltdaere ot THP

n-oSsdBu ehontgsim keli het sianoeghteps fo spirpopidhuehymeaaortsdy

F- ew ylidneftie owkn that PTH sseiercna aC , so yb igrsnecina acetooslts ttcn/yaimirtoaaivut yuo etiearlb alcumci niot the od.lob tihs is the bset wsa.ern

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